Republic of the Philippines
Department of Education
Region IV – A CALABARZON
SCHOOLS DIVISION OF ___________
FORM 2: LAC Facilitator Information Sheet
This form should be accomplished by the designated LAC Facilitator on or before the first
LAC session.
School:
Region:
Division:
NAME: Male/Female: Date of Birth: Age:
Contact details: Email: Mobile Number: Facebook Name:
Preferred contact (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom,
mode: Googlemeet, FB, Messenger, etc.)